Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $239.88 / $389.05	Facility		$123.03	$239.88	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $151.36	Professional		$120.23	$123.03	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $478.63	Facility		$123.03	$194.98	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $323.59 / $389.05	Facility		$128.82	$323.59	$389.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $165.96	Professional		$120.23	$125.89	$165.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $117.49 / $120.23	Facility		$97.72	$117.49	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $128.82	Professional		$120.23	$120.23	$128.82